Stay Healthy by Avoiding These Exercises! – Part 4 of 5

An athlete's key to success…the Off-Season

Snow Shovelling 101 by Dr. Stephanie Harris

Golfers, don’t forget your wrists! By Dr. Stephanie Harris

Wrists are an often overlooked body part when it comes to golf. People who do stretch before golf will spend time stretching the bigger muscles of their bodies like their back, legs and shoulders, and often don’t even think about their wrists. Your wrists play an important role during your golf swing and neglecting them (not stretching or strengthening) can lead to poor performance and injury, which can keep you off the course and on your couch!

Here are a few stretches and strengthening exercises to help keep your wrists strong and to avoid those dreaded wrist injuries!

Wrist Deviation Exercises

Stand with arms at your side and your elbow bent to 90 degrees.

Hold your hand out like you are about to shake hands with someone with your thumb up (this is neutral position).

From this position, move your hand up toward the ceiling and then all the way down to the floor, keeping your forearm locked and only moving from the wrist. Repeat 10 times.

Next, place a light weight or a water bottle in your hand to provide some resistance.

Ball Squeezes

Hold a stress ball or a golf ball in your hand.

Keep your wrist in a neutral position and make a fist around the ball and squeeze.

Hold for 2 – 3 seconds, and then relax.

Perform 2 sets of 10 repetitions. Repeat on the other hand.

Wrist Flexor Stretch

Hold your arm straight out in front of you, keeping the elbow straight and the palm facing up.

Grasp the involved hand at the knuckles and gently stretch the wrist until a stretch is felt on the inside of the forearm.

Golfers: How flexible are you? By Dr. Stephanie Harris

Flexibility is an overlooked and undervalued part of fitness, especially when it comes to golf. Golfers are athletes who require great degrees of range of motion in multiple joints (shoulders, torso, hips…) to swing a golf club. If your body does not have the proper range of motion, your distance, consistency, and swing will suffer and will also put you at risk for injury!

No matter what your handicap, every golfer can benefit from a stretching program and they will see the results in both the way they hit the ball and also in the way they feel during and after the round. In today’s post I will talk about the most important things to DO and the things you should AVOID when it comes to golf specific stretching programs.

When discussing stretching, it is important to understand the difference between static and dynamic stretching. Static stretching involves taking a muscle to a point of tension and holding that position for a given period of time. This type of stretching should be used after a work out or sports and helps improve overall muscle flexibility. Dynamic stretching consists of functional based exercises that use sport specific movements to prepare the body for athletic activity. This type of stretching should be used as a warm up before sports.commercial jumping castles for sale melbourne

Dr. Harris’ Tips for a good Pre-Round Warm-up:

Don’t rush to the first tee! Plan on arriving at the course with enough time to complete a 5-minute warm-up plus time to hit a few balls on the range. This will greatly reduce the tightness/stiffness that is usually felt on the first few holes and reduce your risk for injury.

Before heading to the range to hit balls, perform a 5-minute dynamic stretching warm up. This will get your muscles loose and ready for your round.

After your warm up, spend 5 – 10 minutes on the range.

Don’t warm up swinging more than one club at a time. This can lead to compensatory movements in your arms, altered proprioception (balance), and can lead to over-swinging when you go back to a single club.

On the range, start with a wedge or an iron to work on your swing sequencing. The driver should be the last club you take out of your bag. Remember, a warm up is about finding your swing rhythm; it’s not about power!

Don’t forget to breathe! Proper breathing will help you with your tempo.

After your round, spend another 5-minutes cooling down (static stretching).

Ensure both your warm up and cool down covers shoulders, elbows, wrists, back, hips, and knees to allow your body to be fully prepared for golf.

Ask for help. If you are currently are dealing with an injury or experiencing pain, consult a health care practitioner to get a proper diagnosis and a customized stretching program that is tailored to your needs.

Additional Tips:

If your tee time is in the morning, get to the course a little earlier than usual. Muscles tend to be stiffer and less flexible in the morning.

If it’s a cold day, spend more time warming-up and wear warmer clothes (layers). Cold weather causes your muscles to stiffen and requires a longer warm-up to achieve the same flexibility as on a warm day.

Incorporate stretching into your daily practice routine.

Stay Tuned for my next Blog. I will go through a dynamic warm-up that you can perform before your next round of golf!

A Must Read for All Athletes!!

If you are an athlete (at any level), I am about to tell you something you NEED to know, that few people in the medical community talk about, address, or even think about: The difference between Structural and Functional problems. And more notably the often overlooked importance of functionality!

The reason I am writing this is because all too often I observe first hand (or from afar) athletes being misinformed, misguided, mistreated and incompletely diagnosed. Ultimately, this has a negative affect on the athlete’s performance level and longevity! As a functional specialist, I look forward to the day that teams provide their athletes with more complete medical management. But until that day comes, the onus is on the athlete to become more informed and aware of their own health, even if that means that the solutions they are seeking may be outside what is traditionally provided to them!

A Functional problem is when a body part or a series of body parts are not working properly, and more specifically, not working properly when the body requires movement/motion. This can not be seen on an image because there is nothing structurally wrong with their body and it is actually a problem that involves the MOVING parts (remember, images look at things statically, in a stationary position). A functional problem is best diagnosed through a proper examination which involves the practitioner taking a patient’s history AND running the patient through specific orthopaedic tests (see my previous blog in November 2011, “A proper diagnosis: the key to fixing a problem”).

So herein lies the problem with traditional medical management of athletes, and what I often observe within teams’ management of their players’ health….

If a player or athlete sustains an injury or is experiencing pain…. in most cases they are then sent by the overseeing medical doctor for imaging (which is often the correct move). At this point there are 2 possible results:

1) A structural problem is seen, in which case the medical doctors will devise the correct treatment to fix the structural problem (and in most cases they are the right ones to fix it!!). Or…

2) No structural damage is seen on the image, in which case the athlete is typically told that nothing is wrong; that it’s probably just a “strain”, “tweak”, “bruise” or something minor, and to just rest it or work through it; that it will resolve… NO IT WON’T!!!! This is exactly why you see the same players experiencing the same injuries over and over and over again!!(I will address functional problems in greater detail in my next blog).

So lets say you are diagnosed with a structural problem and the doctors tell you what is needed to correct it; surgery, cast, rehab, injections, etc. In most cases, the suggested treatment is the answer to the structural problem…but they missed something crucial to full recovery – the functional problem!!! Although you can have a functional problem without having a structural problem, you can’t have a structural problem without having a functional problem! For example, if you have a tear (structural problem) of a tendon, you will have a deficit in the way the adjoining muscle functions (contracts, relaxes, range of motion, strength, endurance, etc). Simply repairing the torn tendon (structure) will only get you so far…and will leave you feeling and performing at a fraction of yourself! It will also leave you susceptible to more structural problems down the road (remember, you can tear something more than once!).

In order to fully recover from an injury, a portion of the treatment MUST be targeted at ensuring that the body part(s) are functioning properly, which is most often overlooked and neglected. This, by the way, is exactly why you see players return from an injury that required surgery but they struggle to perform at the level they did prior to the injury.Yes, conditioning plays a factor. But the biggest issue is due to lack of functionality…and until the muscle has regained proper functionality, the player’s performance will be hindered.

Bottom Line: If you have experienced a structural injury which has fully healed but you are wondering why you still don’t feel 100 %….it’s likely because no one has diagnosed and treated the functional impairments to ensure that all the moving parts are working the way they need to.

Stay tuned for my next blog when I better describe functional problems, the way they can be corrected, and what will happen if you leave them untreated!

Stay informed! Stay Healthy!

p.s. sorry for the long read

Golf Season is Here….. Are you ready? By Dr. Stephanie Harris

The warm weather is finally here and golf season is right around the corner! Public courses have already opened their doors for the season and I’m sure a lot of you have already dusted off your clubs and are itching for your first round of golf. With this beautiful weather and the excitement of golf in the air, it’s almost impossible not to run onto the course and get right back into the ‘swing’ of things. But playing your first round of the season can bring both joy and sorrow. Too often I see people come into my office around this time of the year because they’ve injured themselves on the golf course very early in the season. So I thought I’d post some tips on how to get you ready and keep you healthy for the golf season:

Go to the range (a few times) before your first round.

At the range, take your time. Spend 1 – 3 minutes with each shot and go through your routine each time. Avoid hitting too many balls in a short period of time, which will only increase your chance of injury!

Work on flexibility. A good daily stretching routine will work wonders on how you feel both on and off the course.

There is still time to improve your balance and strength. Get into the gym and work on the areas that need to be addressed.

A few lessons pre-season are always a great idea to help get you back into proper swing mechanics.

There is still time to work on these tips before your first tee time. Try a few and you’ll see the difference it will make in how you feel on and off the course.

Stay tuned for my next post, which will discuss the do’s and don’ts of stretching before golf.

Dr. Harris is trained through the Titleist Performance Institute as a certified golf fitness instructor. She is an expert in golf swing biomechanics and uses physical screening techniques, specialized manual therapy and specific exercise prescriptions to identify and eliminate physical restrictions within one’s golf swing. She believes that to achieve consistency and power in your golf game, the key is fixing the root of the problem.

Stay Healthy by Avoiding These Exercises! – Part 5 of 5

Overhead tricep extension and/or bent-over tricep extension: It was a toss up between these two tricep exercises, so I decided to include them both on my ‘exercises to avoid’ list. The overhead tricep extension puts excess stress on your neck/shoulder for reasons similar to the barbell shoulder press (see previous post). As for the bent-over tricep extension, it puts stress on your lumbar (low back) discs and overtime can result in a lower back injury. Furthermore, there is minimal benefit to the development of your tricep musculature by doing a tricep extension exercise while bent over.

Don’t do!

Preferred replacement: If you have access to a pulley system at your gym, then the preferrable replacement is a standing tricep pulldowns/extensions; it targets the tricep without putting unnecessary stress on other parts of your body. If you do not have access to a pully system, then skull crushers are a great substitute (with dumbbells or a barbell…your choice!).

So there you have it, my 5 exercises to avoid in the gym!

Stay Healthy and Keep smiling!!

Stay Healthy by Avoiding These Exercises! – Part 3 of 5

Although you often see people doing this exercise in the gym and it’s commonly found in popular exercise videos, this exercise makes absolutely no sense! It’s non-functional (not a motion your body is intended to perform) and it does not even effectively work the muscles it is claimed to work. Furthermore, it significantly increases your risk of getting supraspinatus tendonitis (a shoulder injury that will cause you pain and eventually force you to skip workouts). Bottom line, don’t do it!

Don’t do!

Preferred replacement: An upright row is intended to work your upper traps, deltoids, and biceps; so I recommend replacing it with more traditional exercises that predominately work the muscles groups individually. These include: side laterals, bicep curls, and shoulder shrugs.

Stay tuned for Part 4…

And as always, stay healthy and keep smiling!

Stay Healthy by Avoiding These Exercises! – Part 2 of 5

This exercise is a non-negotiable absolute no-no!! The overwhelming risks to your spine (including discs, muscles and ligaments) could leave you with structural (and functional) impairments that negatively affect you for the REST OF YOUR LIFE!! In my opinion, anyone who recommends this exercise to you should not be trusted with your health and wellness!

Don’t do!

Preferred replacement: This answer depends on whether or not you’ve had previous/current lower back issues. If you do not have any issues with your back, then you can do Romanian deadlifts (bent legged)…Google it if you need clarification! This exercise primarily targets your glutes, hamstrings, and low back. However, if you want/need to be cautious with your back (especially if you had disc issues) then replace deadlifts with isolated exercises such as: hamstring curls, ball squats, and back extensions (but do not do back extensions if you have a history of recurrent joint-related back problems…and never hyperextend!)